Organization
CLARK & GOSSETT IMPLANT AND ORAL SURGERY, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES DOUGLAS GOSSETT DDS (OWNER)
(830) 625-6914
Entity
Organization
Contact information
Practice address
3013 INDEPENDENCE DRIVE, NEW BRAUNFELS, TX 78132
(830) 625-6914
(830) 629-5530
Mailing address
3013 INDEPENDENCE DRIVE, NEW BRAUNFELS, TX 78132
(830) 625-6914
(830) 629-5530
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
17023
TX
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
18816
TX
Other
Enumeration date
02/11/2008
Last updated
07/02/2019
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